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General NPI Number Information
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NPI Number | 1891944336
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Entity Type | Organization
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Legal Business Name | C.D. CANTU D.D.S. INC
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Dates
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Enumeration Date | 09/09/2008
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Last Update Date | 09/09/2008
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Provider Practice Location Address
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Address Line | 7444 HARRISBURG BLVD
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City | HOUSTON
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State | TX
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Zip | 77011-4741
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Country | US
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Telephone | 713-926-5144
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Fax | 713-926-5235
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Provider Business Mailing Address
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Address Line | 7444 HARRISBURG BLVD
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City | HOUSTON
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State | TX
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Zip | 77011-4741
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Country | US
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Telephone | 713-926-5144
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Fax | 713-926-5235
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Authorized Official
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Title or Position | GENERAL PRACTICE DENTIST
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Name | DR. CHRISTOPHER DONALD CANTU
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Credential | D.D.S.
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Telephone | 713-926-5144
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 9433
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License Number State | TX
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